More and
more we
learn about
our
neighbors
and friends
having
difficulty
conceiving.
In fact,
about 14% of
couples in
industrialized
countries
report
infertility
problems.
There is a
growing body
of evidence
that
indicates
lifestyle
choices such
as diet and
body
negatively
impact
female
fertility.
Obesity has
a strong
association
with
infertility
and
menstrual
irregularities.
While some
of the
ovulation
problems and
menstrual
changes are
explainable
by women
with
Polycystic
Ovarian
Syndrome
(PCOS) who
are also
obese, women
who do not
have PCOS
but are
overweight
also have
the same
problems.
Weight loss
has been
shown to
restore
ovulation.
It is
thought that
the
improvement
in insulin
resistance
has more to
do with
restoring
ovulation
than the
actual
amount of
weight or
weight loss
itself.
Recent
studies
indicate
that
previously
infertile
women who
undergo
gastric
bypass
surgery and
lose massive
weight are
then able to
conceive and
deliver
healthy
babies.
Opponents of
gastric
bypass
weight loss
surgery say
the
restrictive
and
malabsorptive
nature of
the gastric
bypass
prohibits a
woman from
having a
healthy
pregnancy
and
delivering a
healthy
baby. But
the actual
numbers
indicate a
greater risk
to women and
their unborn
child if
they are
morbidly
obese.
The
United
States
Surgeon
General
lists
several
reproductive
complications
associated
with
pregnancy in
women who
are obese.
Complications
include an
increased
risk of
death in
both the
baby and the
mother and
increases
the risk of
maternal
high blood
pressure by
10 times. In
addition to
many other
complications,
women who
are obese
during
pregnancy
are more
likely to
have
gestational
diabetes and
problems
with labor
and
delivery.
The
Surgeon
General
concludes
that Infants
born to
women who
are obese
during
pregnancy
are more
likely to be
high birth
weight and,
therefore,
may face a
higher rate
of Cesarean
section
delivery and
low blood
sugar (which
can be
associated
with brain
damage and
seizures).
Obesity
during
pregnancy is
associated
with an
increased
risk of
birth
defects,
particularly
neural tube
defects,
such as
spina
bifida.
In a
study by Dr.
Alan C.
Wittgrove,
past
president of
the American
Society of
Bariatric
Surgery and
pioneer of
the
laparoscopic
technique,
post-gastric
bypass
pregnancy
indicates
fewer risks
than
commonly
reported by
women who
are obese
during
pregnancy.
His study
was
conducted
with
nurse-practitioner
Leslie
Jester who
had a
low-risk
pregnancy
and
delivered a
healthy baby
after
gastric
bypass
surgery.
The study
found less
risk of
gestational
diabetes,
macrosomia,
and cesarean
section than
associated
with
obesity.
There were
no patients
with
clinically
significant
anemia.
Dr.
Wittgrove
concluded,
“Since the
patients had
an operation
that
restricts
their food
intake, some
basic
precautions
should be
taken when
they become
pregnant.
With this in
mind, our
patients
have done
well with
their
pregnancies.
The
post-surgical
group had
fewer
pregnancy-related
complications
than did an
internally
controlled
group that
were
morbidly
obese during
their
previous
pregnancies.”
Kaye Bailey © 2005 - All Rights ReservedAn award winning journalist and former newspaper editor Kaye Bailey brings expertise in writing and personal experience with gastric bypass surgery to EzineArticles.com. Having spent most of her life overweight Ms. Bailey is strongly empathetic toward the obese, particularly overweight children. This compassion compelled her to found the website http://www.livingafterwls.com, a fast-growing resource of information, understanding and support for the weight loss surgery community.
The LivingAfterWLS.com site is complimented with daily blog. The blog, http://livingafterwls.blogspot.com offers readers the chance to comment or leave feedback about fresh content added daily. This site contains success stories and recipes, general information and WLS inspired topics. Complementing the site is a monthly newsletter titled “You Have Arrived” available exclusively to people who subscribe through the website or the blog.
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